Whalio Doctors

NPI 1043275969

Optum Infusion Services 100, INC.

Organisation Home Infusion Agency Farmingdale, NY

Practice location

Address
931 D Conklin Street, Farmingdale, NY 11735
Phone
(800) 346-6348
Fax
(866) 689-3569

Authorised official

Name
David Oberg
Title
Vp, Compliance
Phone
(499) 988-5893

Registered specialties (2)

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X Licence 9296L0001 (NY)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X Licence 020477 (NY)

Registry record

NPI
1043275969
Entity type
Organization
NPI issued
20 Apr 2006
Record last updated
22 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.